MEDICARE: KAREN T VALISH L/O.T.R., CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	AA386789	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	21148	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1346253960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN T VALISH L/O.T.R., CHT

Provider Business Mailing Address
First Line	:	PO BOX 1356
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80034-1356
Country	:	US
Telephone Number	:	303-237-8899
Fax Number	:	303-202-1863

Provider Business Practice Location Address
First Line	:	1262 BERGEN PARKWAY
Second Line	:	SUITE E18 #4
City	:	EVERGREEN
State	:	CO
Zip	:	80439-9546
Country	:	US
Telephone Number	:	303-237-8899
Fax Number	:	303-202-1863

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	01/10/2023

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